Wu Hung-Pin, Cheng Tsun-Jen, Tan Ching-Ting, Guo Yueliang Leon, Hsu Chuan-Jen
Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University, Taipei, Taiwan.
Laryngoscope. 2009 Jun;119(6):1190-4. doi: 10.1002/lary.20221.
OBJECTIVES/HYPOTHESIS: The purpose of this study is to investigate whether diabetes impairs the recovery from noised-induced temporary hearing loss.
Twenty-eight male Wistar rats were divided into three groups: control, diabetes with insulin control (DI), and diabetes without insulin control (DM). Diabetes was induced by intraperitoneal injection of streptozotocin. All animals were exposed to white noise at 110 dB SPL for 8 hours. Auditory brainstem response (ABR) thresholds and distortion product otoacoustic emission (DPOAE) amplitudes were measured for all animals 1 day prior to noise exposure to obtain a baseline for hearing function, and then 1 hour, 1 day, 2 days, 4 days, 7 days, and 14 days after noise exposure.
One hour post exposure, ABR thresholds shifted markedly, and DPOAE was reduced similarly in all groups. Both ABR thresholds and DPOAE returned to the baseline in the control group at day 1, but they were not back to the baseline in the DM group even by day 14. Compared with the control group, the ABR threshold shifts and DPOAE returned to baseline more slowly in the DI group.
The present study suggests that diabetic patients need proper blood sugar control and probably need more effective preventive measures to preserve their hearing from the effects of noise. Laryngoscope, 2009.
目的/假设:本研究旨在调查糖尿病是否会损害噪声诱导的暂时性听力损失的恢复。
28只雄性Wistar大鼠分为三组:对照组、胰岛素控制的糖尿病组(DI)和未进行胰岛素控制的糖尿病组(DM)。通过腹腔注射链脲佐菌素诱导糖尿病。所有动物均暴露于110 dB SPL的白噪声中8小时。在噪声暴露前1天测量所有动物的听性脑干反应(ABR)阈值和畸变产物耳声发射(DPOAE)幅值,以获得听力功能的基线数据,然后在噪声暴露后1小时、1天、2天、4天、7天和14天进行测量。
暴露后1小时,所有组的ABR阈值均明显升高,DPOAE也有类似降低。对照组在第1天时ABR阈值和DPOAE均恢复至基线水平,但DM组即使在第14天时仍未恢复至基线水平。与对照组相比,DI组的ABR阈值变化和DPOAE恢复至基线的速度更慢。
本研究表明,糖尿病患者需要适当控制血糖,可能还需要更有效的预防措施来保护听力免受噪声影响。《喉镜》,2009年。